Organization
ROYALTY HEALTHCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL N IGWE MD (CMO)
(480) 228-8048
Entity
Organization
Contact information
Practice address
5670 S EUCALYPTUS PL, CHANDLER, AZ 85249-5224
(602) 777-7718
(602) 704-1701
Mailing address
619 W SPARROW PL, CHANDLER, AZ 85286-7625
(480) 228-8048
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
310400000X
Assisted Living Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
09/17/2020
Last updated
09/17/2020
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